| NPI | 1922744069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 17981) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 17891) |
| 101YP2500X Counselor, Professional (Licence: FL 17891) | |
| 101Y00000X Counselor (Licence: FL 17891) | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2024-08-22 |